Linden Hospital Board

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

12618 Issued in AL

Legal business name

LINDEN HOSPITAL BOARD

Doing business as

The Marengo Nursing Home

Practice address

608 N Main St
Linden, AL 36748-1221

Phone

(334) 295-8631

Fax

(334) 295-0117

NPI assigned

Oct 27, 2006

Last updated

Apr 22, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alison C Glass, LNHA

Title

Administrator

Phone

(334) 295-8631

Specialties & licenses 1

Addresses

Other names 1

• The Marengo Nursing Home Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285710061. Details of each certification follow.

• CCN 015330 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 015330

Legal name

LINDEN HOSPITAL BOARD

Doing business as

MARENGO NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 8, 1971

Last certification

Jan 6, 2022

Beds

78

Ownership / control type

Other Nonprofit

Organization structure

OtherNon-profit

Enrollment address

608 North Main Street
Linden, AL 36748-1221

Nursing home name

MARENGO NURSING HOME

Listed as

Marengo Nursing HomeCCN 015330 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Apr 8, 1971

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7864.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronnie T Chu, M. D.

  • Family Medicine Physician
  • Demopolis, AL
  • NPI 1578503058
  NPD (past)
• John C Simmons, MD

  • General Practice Physician
  • Linden, AL
  • NPI 1104832724
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ronnie T Chu, M. D.

  • Family Medicine Physician
  • Demopolis, AL
  • NPI 1578503058

  Nursing home

  Care Compare affiliation
• John C Simmons, MD

  • General Practice Physician
  • Linden, AL
  • NPI 1104832724

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1285710061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N MAIN ST",
            "address_2": "PO BOX 480938",
            "city": "LINDEN",
            "state": "AL",
            "postal_code": "367481221",
            "telephone_number": "334-295-8631",
            "fax_number": "334-295-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N MAIN ST",
            "city": "LINDEN",
            "state": "AL",
            "postal_code": "367481221",
            "telephone_number": "334-295-8631",
            "fax_number": "334-295-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN HOSPITAL BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-295-8631",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "12618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Marengo Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Archie Brooks Davis, RPH
• Erin Leigh Etheridge, CPHT
• Joan Montgomery Hart, FNP-BC
• John C Simmons M.D.
• Linden City Board of Education
• Little Drug Company, LLC
• Little Drug Company, LLC
• Marengo County
• Marengo County Health Dept Adult Immun
• Marengo County Health Dept AIDS

• Skilled Nursing Facility in Linden, AL
• Providers in Linden, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.